{"id":6192,"date":"2018-07-24T12:55:07","date_gmt":"2018-07-24T05:55:07","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/24\/benh-nhuoc-co\/"},"modified":"2024-03-17T04:24:48","modified_gmt":"2024-03-16T21:24:48","slug":"benh-nhuoc-co","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/","title":{"rendered":"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1"},"content":{"rendered":"<h2>Gi\u1edbi thi\u1ec7u v\u1ec1 b\u1ec7nh nh\u01b0\u1ee3c c\u01a1<\/h2>\n<p>B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 ti\u1ebfng Anh l\u00e0 Myasthenia Gravis, ph\u00e1t \u00e2m l\u00e0 My-as-theen-ee-a Grav-us, xu\u1ea5t ph\u00e1t t\u1eeb ti\u1ebfng Hy L\u1ea1p v\u00e0 Latin, c\u00f3 ngh\u0129a l\u00e0 &#8220;y\u1ebfu c\u01a1 tr\u1ea7m tr\u1ecdng&#8221;. D\u1ea1ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 l\u00e0 m\u1ed9t <strong>r\u1ed1i lo\u1ea1n th\u1ea7n kinh c\u01a1 t\u1ef1 mi\u1ec5n m\u1ea1n t\u00ednh<\/strong>, \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 y\u1ebfu c\u01a1 dao \u0111\u1ed9ng \u1edf c\u00e1c nh\u00f3m c\u01a1 t\u1ef1 \u00fd.<\/p>\n<p>T\u1ec9 l\u1ec7 hi\u1ec7n m\u1eafc b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 \u1edf M\u0129 \u0111\u01b0\u1ee3c \u01b0\u1edbc t\u00ednh l\u00e0 kho\u1ea3ng 20\/100.000 d\u00e2n. Tuy nhi\u00ean, c\u00f3 l\u1ebd c\u00f3 nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 t\u1ec9 l\u1ec7 n\u00e0y c\u00f3 th\u1ec3 cao h\u01a1n. B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 x\u1ea3y ra \u1edf m\u1ecdi ch\u1ee7ng t\u1ed9c, \u1edf c\u1ea3 hai gi\u1edbi v\u00e0 \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i. B\u1ec7nh l\u00fd n\u00e0y kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t b\u1ec7nh di truy\u1ec1n hay m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m. B\u1ec7nh c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf nhi\u1ec1u h\u01a1n m\u1ed9t th\u00e0nh vi\u00ean trong c\u00f9ng m\u1ed9t gia \u0111\u00ecnh.<\/p>\n<p>C\u00e1c c\u01a1 t\u1ef1 \u00fd c\u1ee7a to\u00e0n b\u1ed9 c\u01a1 th\u1ec3 \u0111\u1ec1u \u0111\u01b0\u1ee3c \u0111i\u1ec1u khi\u1ec3n b\u1edfi c\u00e1c xung th\u1ea7n kinh ph\u00e1t sinh t\u1eeb n\u00e3o b\u1ed9. Nh\u1eefng xung th\u1ea7n kinh n\u00e0y theo c\u00e1c d\u00e2y th\u1ea7n kinh \u0111i \u0111\u1ebfn n\u01a1i ti\u1ebfp gi\u00e1p gi\u1eefa c\u00e1c s\u1ee3i th\u1ea7n kinh v\u00e0 c\u00e1c s\u1ee3i c\u01a1. C\u00e1c s\u1ee3i th\u1ea7n kinh th\u1eadt ra kh\u00f4ng k\u1ebft n\u1ed1i tr\u1ef1c ti\u1ebfp v\u1edbi c\u00e1c s\u1ee3i c\u01a1 m\u00e0 gi\u1eefa ch\u00fang c\u00f3 m\u1ed9t kho\u1ea3ng kh\u00f4ng gian, kho\u1ea3ng kh\u00f4ng gian n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kh\u1edbp th\u1ea7n kinh c\u01a1. Khi c\u00e1c xung \u0111\u1ed9ng th\u1ea7n kinh t\u1eeb n\u00e3o \u0111i \u0111\u1ebfn \u0111\u1ea7u t\u1eadn c\u00f9ng c\u1ee7a d\u00e2y th\u1ea7n kinh, n\u00f3 gi\u1ea3i ph\u00f3ng m\u1ed9t ch\u1ea5t h\u00f3a h\u1ecdc g\u1ecdi l\u00e0 acetylcholine. Acetylcholine \u0111i qua kho\u1ea3ng kh\u00f4ng gian n\u00e0y \u0111\u1ec3 \u0111\u1ebfn ph\u00eda c\u00e1c s\u1ee3i c\u01a1 c\u1ee7a kh\u1edbp th\u1ea7n kinh c\u01a1, g\u1eafn v\u00e0o c\u00e1c th\u1ee5 th\u1ec3 \u1edf \u0111\u00f3. C\u00e1c c\u01a1 s\u1ebd co khi c\u00e1c th\u1ee5 th\u1ec3 \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t \u0111\u1ee7 b\u1edfi acetylcholine.<\/p>\n<p>Trong b\u1ec7nh nh\u01b0\u1ee3c c\u01a1, c\u00f3 th\u1ec3 c\u00f3 s\u1ef1 suy gi\u1ea3m 80% s\u1ed1 l\u01b0\u1ee3ng c\u00e1c th\u1ee5 th\u1ec3 n\u00e0y. S\u1ed1 l\u01b0\u1ee3ng c\u00e1c th\u1ee5 th\u1ec3 suy gi\u1ea3m l\u00e0 do c\u00e1c kh\u00e1ng th\u1ec3 ph\u00e1 h\u1ee7y ho\u1eb7c ch\u1eb7n c\u00e1c th\u1ee5 th\u1ec3 l\u1ea1i. Kh\u00e1ng th\u1ec3 l\u00e0 nh\u1eefng protein \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong h\u1ec7 mi\u1ec5n d\u1ecbch. Ch\u00fang th\u01b0\u1eddng nh\u1eafm v\u00e0o c\u00e1c protein ngo\u1ea1i sinh t\u1ea5n c\u00f4ng c\u01a1 th\u1ec3, gi\u00fap c\u01a1 th\u1ec3 t\u1ef1 b\u1ea3o v\u1ec7. C\u00e1c protein ngo\u1ea1i sinh n\u00e0y g\u1ecdi l\u00e0 kh\u00e1ng nguy\u00ean, ch\u1eb3ng h\u1ea1n nh\u01b0 vi khu\u1ea9n, virus.<\/p>\n<p>V\u00ec nh\u1eefng l\u00fd do ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a ng\u01b0\u1eddi b\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 t\u1ea1o ra c\u00e1c kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c th\u1ee5 th\u1ec3 t\u1ea1i kh\u1edbp th\u1ea7n kinh c\u01a1. C\u00e1c kh\u00e1ng th\u1ec3 b\u1ea5t th\u01b0\u1eddng n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ecbnh l\u01b0\u1ee3ng trong m\u00e1u \u1edf nhi\u1ec1u b\u1ec7nh nh\u00e2n b\u1ec7nh nh\u01b0\u1ee3c c\u01a1. C\u00e1c kh\u00e1ng th\u1ec3 ph\u00e1 h\u1ee7y c\u00e1c th\u1ee5 th\u1ec3 nhanh h\u01a1n so v\u1edbi qu\u00e1 tr\u00ecnh thay th\u1ebf c\u1ee7a c\u01a1 th\u1ec3. S\u1ef1 suy y\u1ebfu c\u00e1c c\u01a1 x\u1ea3y ra khi acetylcholine kh\u00f4ng th\u1ec3 k\u00edch ho\u1ea1t \u0111\u1ee7 c\u00e1c th\u1ee5 th\u1ec3 \u1edf kh\u1edbp th\u1ea7n kinh c\u01a1.<\/p>\n<p>B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 (Myasthenia Gravis) kh\u00f4ng ph\u1ea3i l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd duy nh\u1ea5t \u0111\u01b0\u1ee3c vi\u1ebft t\u1eaft l\u00e0 MG. B\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng sinh d\u1ee5c g\u00e2y ra b\u1edfi vi khu\u1ea9n Mycoplasma genitalium, \u0111\u00f4i khi c\u0169ng \u0111\u01b0\u1ee3c vi\u1ebft t\u1eaft l\u00e0 MG. B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 kh\u00f4ng c\u00f3 li\u00ean quan g\u00ec \u0111\u1ebfn lo\u1ea1i vi khu\u1ea9n g\u00e2y. B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 c\u0169ng kh\u00f4ng l\u00e2y qua ti\u1ebfp x\u00fac th\u00e2n m\u1eadt ho\u1eb7c b\u1ea5t k\u1ef3 h\u00ecnh th\u1ee9c n\u00e0o.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-12223 aligncenter\" src=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2017\/01\/benh-nhuoc-co.jpg\" alt=\"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1\" width=\"660\" height=\"330\" \/><\/p>\n<h2>C\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 ph\u01b0\u01a1ng th\u1ee9c ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p>&nbsp;<\/p>\n<p>C\u00f9ng v\u1edbi vi\u1ec7c \u0111\u00e1nh gi\u00e1 th\u1ea7n kinh v\u00e0 th\u0103m kh\u00e1m t\u1ed5ng qu\u00e1t, c\u00e1c b\u00e1c s\u0129 c\u1ea7n l\u00e0m th\u00eam m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m gi\u00fap thi\u1ebft l\u1eadp ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u01b0\u1ee3c c\u01a1. M\u1ed9t \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 l\u00e0 t\u00ecnh tr\u1ea1ng <strong>y\u1ebfu c\u01a1 r\u00f5 khi ho\u1ea1t \u0111\u1ed9ng v\u00e0 c\u1ea3i thi\u1ec7n khi ngh\u1ec9 ng\u01a1i.<\/strong><\/p>\n<p>\u0110\u1ec3 kh\u00e1m t\u00ecnh tr\u1ea1ng y\u1ebfu c\u01a1 khi ho\u1ea1t \u0111\u1ed9ng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n nh\u00ecn l\u00ean v\u00e0i ph\u00fat (khi\u1ebfn mi m\u1eaft n\u00e2ng cao l\u00ean) \u0111\u1ec3 xem mi m\u1eaft c\u00f3 s\u1ee5p xu\u1ed1ng kh\u00f4ng (g\u1ecdi l\u00e0 \u201cs\u1ee5p mi\u201d- ptosis). \u0110\u1ec3 ki\u1ec3m tra s\u1ef1 h\u1ed3i ph\u1ee5c s\u1ee9c c\u01a1 sau khi ngh\u1ec9 ng\u01a1i, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ki\u1ec3m tra s\u1ee9c c\u01a1, sau \u0111\u00f3 cho b\u1ec7nh nh\u00e2n ngh\u1ec9 ng\u01a1i ho\u1eb7c th\u01b0 gi\u00e3n m\u1ed9t ph\u1ea7n c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 sau \u0111\u00f3 ki\u1ec3m tra l\u1ea1i s\u1ee9c c\u01a1 xem c\u00f3 c\u1ea3i thi\u1ec7n hay kh\u00f4ng. V\u00ed d\u1ee5, v\u1edbi m\u1ed9t ng\u01b0\u1eddi \u0111ang \u0111\u01b0\u1ee3c nghi ng\u1edd l\u00e0 b\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 c\u00f3 mi m\u1eaft s\u1ee5p, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 cho b\u1ec7nh nh\u00e2n n\u1eb1m xu\u1ed1ng v\u00e0 nh\u1eafm m\u1eaft trong v\u00e0i ph\u00fat, ch\u01b0\u1eddm m\u1ed9t t\u00fai m\u00e1t tr\u00ean mi m\u1eaft v\u00e0 xem t\u00ecnh tr\u1ea1ng s\u1ee5p mi c\u00f3 c\u1ea3i thi\u1ec7n sau khi ngh\u1ec9 ng\u01a1i kh\u00f4ng.<\/p>\n<h3>C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh nh\u01b0\u1ee3c c\u01a1<\/h3>\n<ul>\n<li>S\u1ee5p mi<\/li>\n<li>Nh\u00ecn m\u1edd ho\u1eb7c nh\u00ecn \u0111\u00f4i.<\/li>\n<li>N\u00f3i kh\u00f3<\/li>\n<li>Kh\u00f3 nhai v\u00e0 nu\u1ed1t<\/li>\n<li>Y\u1ebfu c\u01a1 c\u00e1nh tay v\u00e0 ch\u00e2n<\/li>\n<li>M\u1ecfi c\u01a1 m\u1ea1n t\u00ednh<\/li>\n<li>Kh\u00f3 th\u1edf<\/li>\n<\/ul>\n<h3>M\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m gi\u00fap ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u01b0\u1ee3c c\u01a1<\/h3>\n<ul>\n<li><strong>T\u00ecm kh\u00e1ng th\u1ec3 Anti-MuSK:\u00a0<\/strong>x\u00e9t nghi\u1ec7m cho 15% s\u1ed1 b\u1ec7nh nh\u00e2n nh\u01b0\u1ee3c c\u01a1 kh\u00f4ng t\u00ecm th\u1ea5y kh\u00e1ng th\u1ec3 kh\u00e1ng th\u1ee5 th\u1ec3 acetylcholine (l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n nh\u01b0\u1ee3c c\u01a1 c\u00f3 huy\u1ebft thanh \u00e2m t\u00ednh -seronegative MG- SNMG). Kho\u1ea3ng 40% b\u1ec7nh nh\u00e2n SNMG th\u1eed nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh v\u1edbi kh\u00e1ng th\u1ec3 anti-MuSK. C\u00e1c b\u1ec7nh nh\u00e2n c\u00f2n l\u1ea1i kh\u00f4ng t\u00ecm th\u1ea5y kh\u00e1ng th\u1ec3 g\u00e2y MG.<\/li>\n<li><strong>C\u00e1c ki\u1ec3m tra t\u1ea1i ph\u00f2ng kh\u00e1m:<\/strong>\u00a0test cho ng\u1ee7, test t\u00fai n\u01b0\u1edbc \u0111\u00e1 (Ice Pack test) v\u00e0 test Edrophonium \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 c\u1ea3i thi\u1ec7n s\u1ee9c c\u01a1 ph\u00f9 h\u1ee3p trong b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/li>\n<li><strong>\u0110i\u1ec7n c\u01a1 (electromyography- EMG)<\/strong>: c\u00f3 th\u1ec3 gi\u00fap h\u1ed7 tr\u1ee3 cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 khi t\u00ecm th\u1ea5y nh\u1eefng n\u00e9t \u0111\u1eb7c tr\u01b0ng. Chu\u1ed7i k\u00edch th\u00edch l\u1eb7p l\u1ea1i li\u00ean ti\u1ebfp gi\u00fap t\u00ecm ki\u1ec3u \u0111\u00e1p \u1ee9ng \u0111\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh (hi\u1ec7n t\u01b0\u1ee3ng decrement &gt;10%).<\/li>\n<li><strong>\u0110i\u1ec7n c\u01a1 s\u1ee3i \u0111\u01a1n \u0111\u1ed9c (Single Fiber EMG):<\/strong>\u00a0gi\u00fap h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 khi c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng b\u1ed3n ch\u1ed3n s\u1ee3i c\u01a1 (jitter).<\/li>\n<li><strong>Kh\u00e1ng th\u1ec3 kh\u00e1ng th\u1ee5 th\u1ec3 Acetylcholine (AchR- Acetylcholine Receptor Antibody):<\/strong>\u00a0L\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m m\u00e1u gi\u00fap ph\u00e1t hi\u1ec7n c\u00e1c kh\u00e1ng th\u1ec3 b\u1ea5t th\u01b0\u1eddng. Kho\u1ea3ng 85% b\u1ec7nh nh\u00e2n b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 c\u00f3 kh\u00e1ng th\u1ec3 n\u00e0y, v\u00e0 n\u1ed3ng \u0111\u1ed9 kh\u00e1ng th\u1ec3 AChR trong m\u00e1u t\u0103ng gi\u00fap ch\u1ec9 \u0111i\u1ec3m m\u1ea1nh m\u1ebd b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/li>\n<\/ul>\n<p>\u0110\u00f4i khi t\u1ea5t c\u1ea3 c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec1u \u00e2m t\u00ednh ho\u1eb7c kh\u00f4ng r\u00f5 r\u00e0ng \u1edf m\u1ed9t ng\u01b0\u1eddi m\u00e0 b\u1ec7nh s\u1eed v\u00e0 th\u0103m kh\u00e1m \u0111\u1ec1u h\u01b0\u1edbng \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u01b0\u1ee3c c\u01a1. M\u1ed9t b\u00e1c s\u0129 c\u00f3 k\u0129 n\u0103ng nh\u1eadn bi\u1ebft v\u00e0 ph\u00e2n bi\u1ec7t b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 v\u1edbi c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c s\u1ebd x\u00e1c \u0111\u1ecbnh xem b\u1ec7nh nh\u00e2n c\u00f3 b\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 hay kh\u00f4ng.<\/p>\n<h2>\u0110i\u1ec1u tr\u1ecb<\/h2>\n<p>Hi\u1ec7n c\u00f3 nhi\u1ec1u c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho b\u1ec7nh nh\u01b0\u1ee3c c\u01a1. B\u1ec7nh t\u1ef1 c\u1ea3i thi\u1ec7n ho\u1eb7c th\u1eadm ch\u00ed t\u1ef1 tho\u00e1i lui khi kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra (d\u00f9 kh\u00f4ng th\u01b0\u1eddng g\u1eb7p).<\/p>\n<p>Thu\u1ed1c kh\u00e1ng men acetylcholinesterase (v\u00ed d\u1ee5 Mestinon\u00ae) gi\u00fap gi\u1eef acetylcholine t\u1ea1i kh\u1edbp th\u1ea7n kinh c\u01a1 l\u00e2u h\u01a1n, \u0111\u1ec3 nhi\u1ec1u th\u1ee5 th\u1ec3 \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t h\u01a1n.<\/p>\n<p>Corticosteroids (v\u00ed d\u1ee5 prednisone) v\u00e0 c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch (v\u00ed d\u1ee5 Imuran\u00ae) c\u00f3 th\u1ec3 gi\u00fap \u1ee9c ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch trong b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/p>\n<p>Ph\u1eabu thu\u1eadt c\u1eaft tuy\u1ebfn \u1ee9c (Thymectomy) l\u00e0 m\u1ed9t c\u00e1ch \u0111i\u1ec1u tr\u1ecb kh\u00e1c \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n. Tuy\u1ebfn \u1ee9c n\u1eb1m ph\u00eda sau x\u01b0\u01a1ng \u1ee9c v\u00e0 l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch. C\u1eaft b\u1ecf tuy\u1ebfn \u1ee9c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u1ed9 tr\u1ea7m tr\u1ecdng c\u1ee7a y\u1ebfu c\u01a1 trong b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 sau v\u00e0i th\u00e1ng ho\u1eb7c v\u00e0i n\u0103m. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n sau khi c\u1eaft b\u1ecf tuy\u1ebfn \u1ee9c th\u00ec ho\u00e0n to\u00e0n h\u1ebft y\u1ebfu c\u01a1. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y g\u1ecdi l\u00e0 s\u1ef1 tho\u00e1i lui c\u1ee7a b\u1ec7nh (remission). L\u1ee3i \u00edch c\u1ee7a vi\u1ec7c c\u1eaft tuy\u1ebfn \u1ee9c l\u00e0 kh\u00e1c nhau tr\u00ean t\u1eebng b\u1ec7nh nh\u00e2n. Khi b\u1ec7nh nh\u00e2n c\u00f3 u tuy\u1ebfn \u1ee9c (10-15% b\u1ec7nh nh\u00e2n nh\u01b0\u1ee3c c\u01a1), h\u1ecd c\u1ea7n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1eaft u v\u00ec c\u00f3 nguy c\u01a1 l\u00e0 u \u00e1c t\u00ednh.<\/p>\n<p>Thay huy\u1ebft t\u01b0\u01a1ng (Plasmapheresis hay plasma exchange) c\u0169ng c\u00f3 th\u1ec3 gi\u00fap \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1. Thay huy\u1ebft t\u01b0\u01a1ng nh\u1eb1m lo\u1ea1i b\u1ecf c\u00e1c kh\u00e1ng th\u1ec3 b\u1ea5t th\u01b0\u1eddng ra kh\u1ecfi huy\u1ebft t\u01b0\u01a1ng. S\u1ef1 c\u1ea3i thi\u1ec7n s\u1ee9c c\u01a1 c\u00f3 th\u1ec3 th\u1ea5y r\u00f5 nh\u01b0ng th\u01b0\u1eddng l\u00e0 ng\u1eafn ng\u1ee7i v\u00ec c\u00e1c kh\u00e1ng th\u1ec3 b\u1ea5t th\u01b0\u1eddng v\u1eabn ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t. Thay huy\u1ebft t\u01b0\u01a1ng \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n l\u1eb7p \u0111i l\u1eb7p l\u1ea1i. C\u00e1ch \u0111i\u1ec1u tr\u1ecb n\u00e0y c\u00f3 l\u1ebd \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch trong tr\u01b0\u1eddng h\u1ee3p y\u1ebfu c\u01a1 n\u1eb7ng ho\u1eb7c tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt.<\/p>\n<p>Globulin mi\u1ec5n d\u1ecbch ti\u00eam t\u0129nh m\u1ea1ch (IVIG) \u0111\u00f4i khi \u0111\u01b0\u1ee3c c\u0169ng s\u1eed d\u1ee5ng \u0111\u1ec3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn c\u00e1c ch\u1ee9c n\u0103ng ho\u1eb7c s\u1ef1 s\u1ea3n xu\u1ea5t c\u00e1c kh\u00e1ng th\u1ec3 b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p>C\u00e1c \u0111i\u1ec1u tr\u1ecb m\u1edbi h\u01a1n v\u1edbi c\u00e1c kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng (rituximab, eculizumab) \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u v\u00e0 trong t\u01b0\u01a1ng lai g\u1ea7n c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh c\u00e1c ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb kh\u00e1c cho b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/p>\n<p>C\u00e1c quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean vi\u1ec7c n\u1eafm b\u1eaft \u0111\u01b0\u1ee3c b\u1ec7nh s\u1eed t\u1ef1 nhi\u00ean c\u1ee7a b\u1ec7nh \u1edf t\u1eebng b\u1ec7nh nh\u00e2n v\u00e0 \u0111\u00e1p \u1ee9ng ti\u00ean \u0111o\u00e1n \u0111\u01b0\u1ee3c c\u1ee7a m\u1ed7i c\u00e1ch \u0111i\u1ec1u tr\u1ecb. M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb l\u00e0 ri\u00eang bi\u1ec7t tr\u00ean t\u1eebng tr\u01b0\u1eddng h\u1ee3p t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 y\u1ebfu c\u01a1, tu\u1ed5i, gi\u1edbi t\u00ednh v\u00e0 ph\u00e2n \u0111\u1ed9 c\u1ee7a b\u1ec7nh.<\/p>\n<h2>Ti\u00ean l\u01b0\u1ee3ng<\/h2>\n<p>C\u00e1c \u0111i\u1ec1u tr\u1ecb hi\u1ec7n c\u00f3 \u0111\u00e3 \u0111\u1ee7 \u0111\u1ec3 mang \u0111\u1ebfn cho h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n nh\u01b0\u1ee3c c\u01a1 m\u1ed9t ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan. M\u1eb7c d\u00f9 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng th\u1ec3 ch\u1eefa \u0111\u01b0\u1ee3c b\u1ec7nh, h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u1ec1u c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c s\u1ee9c c\u01a1. \u1ede c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 c\u00f3 chi\u1ec1u h\u01b0\u1edbng tho\u00e1i lui th\u00ec vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh ho\u1eb7c gi\u1ea3m b\u1edbt. Ch\u00fang ta c\u00f2n c\u00f3 th\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c nhi\u1ec1u h\u01a1n, nh\u01b0ng v\u1eabn c\u00f2n nhi\u1ec1u \u0111i\u1ec1u c\u1ea7n \u0111\u01b0\u1ee3c t\u00ecm hi\u1ec3u. C\u00e1c thu\u1ed1c m\u1edbi \u0111\u1ec3 c\u1ea3i ti\u1ebfn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e0 c\u1ea7n thi\u1ebft. Vi\u1ec7c nghi\u00ean c\u1ee9u \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c t\u00ecm ki\u1ebfm nh\u1eefng c\u00e2u tr\u1ea3 l\u1eddi v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi cho b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"http:\/\/www.myasthenia.org\/WhatisMG.aspx\" target=\"_blank\" rel=\"noopener\">http:\/\/www.myasthenia.org\/WhatisMG.aspx<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 c\u00f3 ngh\u0129a l\u00e0 &#8220;y\u1ebfu c\u01a1 tr\u1ea7m tr\u1ecdng&#8221;. C\u00e1c \u0111i\u1ec1u tr\u1ecb hi\u1ec7n c\u00f3 \u0111\u00e3 \u0111\u1ee7 \u0111\u1ec3 mang \u0111\u1ebfn cho h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n nh\u01b0\u1ee3c c\u01a1 m\u1ed9t ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan. <\/p>\n","protected":false},"author":110,"featured_media":2261,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5249,3884,5148,5149,5230],"tags":[4592,3885],"series":[1583],"coauthors":[1778],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 c\u00f3 ngh\u0129a l\u00e0 &quot;y\u1ebfu c\u01a1 tr\u1ea7m tr\u1ecdng&quot;. C\u00e1c \u0111i\u1ec1u tr\u1ecb hi\u1ec7n c\u00f3 \u0111\u00e3 \u0111\u1ee7 \u0111\u1ec3 mang \u0111\u1ebfn cho h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n nh\u01b0\u1ee3c c\u01a1 m\u1ed9t ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 c\u00f3 ngh\u0129a l\u00e0 &quot;y\u1ebfu c\u01a1 tr\u1ea7m tr\u1ecdng&quot;. C\u00e1c \u0111i\u1ec1u tr\u1ecb hi\u1ec7n c\u00f3 \u0111\u00e3 \u0111\u1ee7 \u0111\u1ec3 mang \u0111\u1ebfn cho h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n nh\u01b0\u1ee3c c\u01a1 m\u1ed9t ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/phuongkhanhph\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-24T05:55:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T21:24:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2017\/01\/benh-nhuoc-co.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"13 ph\u00fat\" \/>\n\t<meta name=\"twitter:label3\" content=\"Vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data3\" content=\"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/\",\"name\":\"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\",\"isPartOf\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2017\/01\/benh-nhuoc-co.jpg\",\"datePublished\":\"2018-07-24T05:55:07+00:00\",\"dateModified\":\"2024-03-16T21:24:48+00:00\",\"author\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/038aa1e1741d815c49fd044a95e074b3\"},\"description\":\"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 c\u00f3 ngh\u0129a l\u00e0 \\\"y\u1ebfu c\u01a1 tr\u1ea7m tr\u1ecdng\\\". C\u00e1c \u0111i\u1ec1u tr\u1ecb hi\u1ec7n c\u00f3 \u0111\u00e3 \u0111\u1ee7 \u0111\u1ec3 mang \u0111\u1ebfn cho h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n nh\u01b0\u1ee3c c\u01a1 m\u1ed9t ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan.\",\"breadcrumb\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/#breadcrumb\"},\"inLanguage\":\"vi\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"vi\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/#primaryimage\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2017\/01\/benh-nhuoc-co.jpg\",\"contentUrl\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2017\/01\/benh-nhuoc-co.jpg\",\"width\":660,\"height\":330,\"caption\":\"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Trang ch\u1ee7\",\"item\":\"https:\/\/yhoccongdong.com\/du-an-khac\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#website\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/\",\"name\":\"D\u1ef1 \u00e1n kh\u00e1c\",\"description\":\"Just another C\u00e1c d\u1ef1 \u00e1n site\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/yhoccongdong.com\/du-an-khac\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"vi\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/038aa1e1741d815c49fd044a95e074b3\",\"name\":\"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"vi\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/image\/45654c2c2abf2f0979a9bd16a5863cc2\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/2022\/10\/bs-phan-hoang-phuong-khanh-96x96.jpg\",\"contentUrl\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/2022\/10\/bs-phan-hoang-phuong-khanh-96x96.jpg\",\"caption\":\"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh\"},\"description\":\"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh NH\u1eb8 NH\u00c0NG M\u1eccI TH\u1ee8 M\u00c0 S\u1ed0NG ^^ N\u01a1i l\u00e0m vi\u1ec7c: B\u1ec7nh vi\u1ec7n Chuy\u00ean Khoa Ngo\u1ea1i Th\u1ea7n Kinh Qu\u1ed1c T\u1ebf Ng\u00e0nh: \u0110a khoa Chuy\u00ean ng\u00e0nh: N\u1ed9i Th\u1ea7n Kinh Qu\u00e1 tr\u00ecnh \u0111\u00e0o t\u1ea1o: B\u00e1c s\u0129 n\u1ed9i tr\u00fa t\u1ea1i \u0110\u1ea1i H\u1ecdc Y D\u01b0\u1ee3c Tp. H\u1ed3 Ch\u00ed Minh n\u0103m\u00a02013 (Th\u1ea1c s\u0129) B\u00e1c s\u0129 \u0111a khoa t\u1ea1i \u0110\u1ea1i H\u1ecdc Y D\u01b0\u1ee3c Tp. H\u1ed3 Ch\u00ed Minh n\u0103m 2009 (B\u00e1c s\u0129)\",\"sameAs\":[\"http:\/\/facebook.com\/phuongkhanhph\"],\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/author\/bsphuongkhanhntk\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng","description":"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 c\u00f3 ngh\u0129a l\u00e0 \"y\u1ebfu c\u01a1 tr\u1ea7m tr\u1ecdng\". C\u00e1c \u0111i\u1ec1u tr\u1ecb hi\u1ec7n c\u00f3 \u0111\u00e3 \u0111\u1ee7 \u0111\u1ec3 mang \u0111\u1ebfn cho h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n nh\u01b0\u1ee3c c\u01a1 m\u1ed9t ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/","og_locale":"vi_VN","og_type":"article","og_title":"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng","og_description":"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 c\u00f3 ngh\u0129a l\u00e0 \"y\u1ebfu c\u01a1 tr\u1ea7m tr\u1ecdng\". C\u00e1c \u0111i\u1ec1u tr\u1ecb hi\u1ec7n c\u00f3 \u0111\u00e3 \u0111\u1ee7 \u0111\u1ec3 mang \u0111\u1ebfn cho h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n nh\u01b0\u1ee3c c\u01a1 m\u1ed9t ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan.","og_url":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/","og_site_name":"D\u1ef1 \u00e1n kh\u00e1c","article_author":"http:\/\/facebook.com\/phuongkhanhph","article_published_time":"2018-07-24T05:55:07+00:00","article_modified_time":"2024-03-16T21:24:48+00:00","og_image":[{"width":660,"height":330,"url":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2017\/01\/benh-nhuoc-co.jpg","type":"image\/jpeg"}],"author":"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh","twitter_card":"summary_large_image","twitter_misc":{"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi":"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh","\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc":"13 ph\u00fat","Vi\u1ebft b\u1edfi":"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/","url":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/","name":"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng","isPartOf":{"@id":"https:\/\/yhoccongdong.com\/du-an-khac\/#website"},"primaryImageOfPage":{"@id":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/#primaryimage"},"image":{"@id":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/#primaryimage"},"thumbnailUrl":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2017\/01\/benh-nhuoc-co.jpg","datePublished":"2018-07-24T05:55:07+00:00","dateModified":"2024-03-16T21:24:48+00:00","author":{"@id":"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/038aa1e1741d815c49fd044a95e074b3"},"description":"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 c\u00f3 ngh\u0129a l\u00e0 \"y\u1ebfu c\u01a1 tr\u1ea7m tr\u1ecdng\". C\u00e1c \u0111i\u1ec1u tr\u1ecb hi\u1ec7n c\u00f3 \u0111\u00e3 \u0111\u1ee7 \u0111\u1ec3 mang \u0111\u1ebfn cho h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n nh\u01b0\u1ee3c c\u01a1 m\u1ed9t ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan.","breadcrumb":{"@id":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/#breadcrumb"},"inLanguage":"vi","potentialAction":[{"@type":"ReadAction","target":["https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/"]}]},{"@type":"ImageObject","inLanguage":"vi","@id":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/#primaryimage","url":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2017\/01\/benh-nhuoc-co.jpg","contentUrl":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2017\/01\/benh-nhuoc-co.jpg","width":660,"height":330,"caption":"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1"},{"@type":"BreadcrumbList","@id":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-nhuoc-co\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Trang ch\u1ee7","item":"https:\/\/yhoccongdong.com\/du-an-khac\/"},{"@type":"ListItem","position":2,"name":"B\u1ec7nh nh\u01b0\u1ee3c c\u01a1"}]},{"@type":"WebSite","@id":"https:\/\/yhoccongdong.com\/du-an-khac\/#website","url":"https:\/\/yhoccongdong.com\/du-an-khac\/","name":"D\u1ef1 \u00e1n kh\u00e1c","description":"Just another C\u00e1c d\u1ef1 \u00e1n site","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/yhoccongdong.com\/du-an-khac\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"vi"},{"@type":"Person","@id":"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/038aa1e1741d815c49fd044a95e074b3","name":"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh","image":{"@type":"ImageObject","inLanguage":"vi","@id":"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/image\/45654c2c2abf2f0979a9bd16a5863cc2","url":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/2022\/10\/bs-phan-hoang-phuong-khanh-96x96.jpg","contentUrl":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/2022\/10\/bs-phan-hoang-phuong-khanh-96x96.jpg","caption":"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh"},"description":"Ths.BS. Phan Ho\u00e0ng Ph\u01b0\u01a1ng Khanh NH\u1eb8 NH\u00c0NG M\u1eccI TH\u1ee8 M\u00c0 S\u1ed0NG ^^ N\u01a1i l\u00e0m vi\u1ec7c: B\u1ec7nh vi\u1ec7n Chuy\u00ean Khoa Ngo\u1ea1i Th\u1ea7n Kinh Qu\u1ed1c T\u1ebf Ng\u00e0nh: \u0110a khoa Chuy\u00ean ng\u00e0nh: N\u1ed9i Th\u1ea7n Kinh Qu\u00e1 tr\u00ecnh \u0111\u00e0o t\u1ea1o: B\u00e1c s\u0129 n\u1ed9i tr\u00fa t\u1ea1i \u0110\u1ea1i H\u1ecdc Y D\u01b0\u1ee3c Tp. H\u1ed3 Ch\u00ed Minh n\u0103m\u00a02013 (Th\u1ea1c s\u0129) B\u00e1c s\u0129 \u0111a khoa t\u1ea1i \u0110\u1ea1i H\u1ecdc Y D\u01b0\u1ee3c Tp. H\u1ed3 Ch\u00ed Minh n\u0103m 2009 (B\u00e1c s\u0129)","sameAs":["http:\/\/facebook.com\/phuongkhanhph"],"url":"https:\/\/yhoccongdong.com\/du-an-khac\/author\/bsphuongkhanhntk\/"}]}},"_links":{"self":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/posts\/6192"}],"collection":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/users\/110"}],"replies":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/comments?post=6192"}],"version-history":[{"count":0,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/posts\/6192\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/media\/2261"}],"wp:attachment":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/media?parent=6192"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/categories?post=6192"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/tags?post=6192"},{"taxonomy":"series","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/series?post=6192"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/coauthors?post=6192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}